| Doctor Name: | CAITLIN CROLLEY POLK |
| NPI Number: | 1003165747 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | C009193 |
| Business Practice Address: | 1316 Patton Ave D Asheville, NC - 288062666 |
| Business Phone Number: | 8282253100 |
| Business Fax Number: | 8282253604 |
| Mailing Address: | Po Box 759194, BALTIMORE |
| State: | MD |
| Postal Code: | 212759194 |
| Phone Number: | 5407106085 |
| Fax Number: | 5407106447 |
| NPI Enumeration Date: | 09/07/2012 |
| NPI Last Update Date: | 11/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | C009193 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |